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Conditions and treatments

Angina

Angina is chest pain or discomfort that occurs when your heart isn't getting enough oxygen because of reduced blood flow to the heart.

It is usually a symptom of coronary heart disease.

Blood enters the heart through two blood vessels. These are known as the coronary arteries and they supply the heart muscle with the blood, oxygen and nutrients it needs to keep beating. Normally, the coronary arteries deliver enough blood so that the heart muscle gets the amount of oxygen it needs to work properly. However, in coronary heart disease these arteries become narrowed which reduces the amount of blood that can pass through them.

This means that blood can't get to the heart muscle fast enough and the heart complains with pain. This pain is known as angina. It is more likely to occur during exertion (for example, walking or climbing stairs) when the heart muscle needs more blood and oxygen as it works harder.

An episode of angina is not a heart attack. Angina is due to a temporary reduction in the flow of blood to part of the heart muscle and does not damage the heart itself. A heart attack occurs when the blood supply to part of the heart is cut off and results in permanent damage to the heart muscle.

If you are referred to us with angina, or suspected angina, you will be treated by the team in the Cardiology Department.

What might the treatment involve?

The main aims of treatment are:

  • to ease pain quickly if it occurs
  • to prevent angina pains as much as possible
  • to limit further atheroma or plaques (deposits of fatty substances) from forming in the coronary arteries. This prevents or delays the worsening of the condition
  • to reduce the risk of having a heart attack.

Medicines may be given for the immediate relief of pain, long-term prevention of angina and to prevent worsening of coronary artery disease.

Surgery may be recommended for severe angina, if medicines fail to control symptoms or if one or more coronary arteries are very narrow

Related wards and clinics

The Cardiology team operates in clinics in:

  • Reading
  • Wallingford
  • Newbury
  • Henley

If you need to stay in hospital you will be admitted to:  

 

 

Useful Contacts

Operations Manager:
Sharon Herring

Royal Berkshire NHS Foundation Trust
London Road
Reading
RG1 5AN

0118 322 5111